Individual provider Active NPI

Whitney Michelle Dawson, M.D

  • Internal Medicine Physician
  • Blue Island, IL
National Provider Identifier
1376906164
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.149523 Issued in IL
Practice address
12935 Gregory St
Blue Island, IL 60406
Phone
(708) 597-2000
NPI assigned
Mar 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036.149523 IL
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 036.149523 IL Primary

Addresses

Primary practice location

12935 Gregory St
Blue Island, IL 60406

Mailing address

215 W Lake St Apt 805
Chicago, IL 60606-1862
Phone (803) 497-2381

Other practice location 1

2451 Fillingim St
Res Box 7th Floor
Mobile, AL 36617-2238
Phone (251) 471-7207

Other practice location 2

2451 Fillingim St
Res Box 7th Floor
Mobile, AL 36617-2238
Phone (251) 471-7207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190709000142 IL Practitioner - Emergency MedicinePractitioner - Hospitalist 1355623919 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.149523ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Current Accepting new patients
Northwest Community Health Services Inc Internal Medicine CurrentSince Nov 21, 2019 Accepting new patients
Northwest Community Health Services Inc CurrentSince Nov 21, 2019 Accepting new patients
Cook County CurrentSince May 19, 2022 Accepting new patients
Carle Health Care Incorporated Emergency Medicine CurrentSince Nov 12, 2019 Accepting new patients
Cook County Emergency Medicine CurrentSince May 19, 2022 Accepting new patients
Hospitalist Physicians of Illinois, P.C. Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Inpatient Consultants of Illinois, P.C. Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Inpatient Consultants of Illinois, P.C. Internal Medicine CurrentSince May 1, 2020 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

25233 Network Pl
Chicago, IL 60673

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1376906164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W LAKE ST APT 805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061862",
            "telephone_number": "803-497-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12935 GREGORY ST",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "60406",
            "telephone_number": "708-597-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2451 Fillingim St",
            "address_2": "Res Box 7th Floor",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366172238",
            "country_code": "US",
            "telephone_number": "251-471-7207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 Fillingim St",
            "address_2": "Res Box 7th Floor",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366172238",
            "country_code": "US",
            "telephone_number": "251-471-7207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "WHITNEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.149523",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.149523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Island, IL

Sources for this page

Verify at the official NPI Registry.